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7^A>‘ <br />ed on <br />ore <br />OTHER APPLICATIONS - CONT, <br />_ _ _ _ $250.00 Rezoning <br />_ _ _ _ $200.00 Appeals <br />Other - see fee schedule <br />PRESENT USE OP PROPERTY <br />Present Zoning District <br />Present Use of Property Residential <br />Other (specify) <br />DESCRIPTION OF REQUEST <br />Describe request in detail: <br />REQUIRED SUBMITTALS <br />>/l» Completed Application Form. <br />✓^2. Certified Property Owners List of owners within 350' (you can obtain <br />this list from Hennepin County Department of Finance A-603 Government <br />Cernter 348-3271) <br />Stamped, legal sized envelopes (#10) pre-addressed to each of the names <br />on the above list with no return address. <br />Certificate of survey. <br />Construction plan, if applicable. <br />Plat Map. <br />The applicant and Property Owner must cign this application. Please <br />remember that your application is not complete if the above information has <br />not been included. <br />APPLICANT'S SIGNATURE <br />The applicant hereby agrees to provide all information required or <br />requested by the Zoning Administrator, agrees to pay all fees and/or <br />unusual expenses incurred in review of this application, and certifies that <br />the information supplied is true and correct to the best of his/her <br />knowledge. <br />Applicant's signature Date 03 <br />OWNERS SIGNATURE <br />The owner hereby acknowledges and agrees to this application and further <br />authorized reasonable entry onto the property by City staff, consultants, <br />agents, commission members, and Council members for purposes of <br />investigation and verification of^this request. <br />Owner's signature £,n O-c j O Date CtI 03 <br />Applicant must have all submittals into the City offices 25 HavePlanning Commission Meetina Plnrm-5n« __ _• • octrees ,25 days before the <br />third M^day of each Commission Meetings are held on the